The Leaf THE LEAF May-June 2019 | Page 28

Since its inception there have been 5,200 approvals via 600 doctors through the scheme; 500 of those approvals occurred in Western Australia. Ms Wraight said she had found it impossible to find either an AP or a GP willing to make an application to the TGA. A lack of understanding Sanjay Nijhawan of Cannabis Access Clinics said there were two components in GPs' apprehension to prescribe. "One of course is the lengthy process, which takes time and effort, and obviously Medicare does not reward that appropriately for the length of time you would spend on the patient," Dr Nijhawan said. "Number two of course is the lack of understanding of how medical cannabis actually works." WA Health Minister Roger Cook agreed there was a limited appreciation of medicinal cannabis in the state's primary care community. "We're very much in the early days of understanding the impact of cannabinoids and their benefits for people suffering from a range of conditions," he said. "Many doctors have said to me they'd be happy to prescribe cannabis-based medicines if they knew how much to prescribe and how long to prescribe it for. "That's one of the mysteries we're still just getting to understand." Costs remain sky high Ms Wraight said another roadblock in accessing the drug legally was the cost. Medicinal cannabis is not on the Pharmaceutical Benefits Scheme so patients need to pay full price for products they are prescribed. For a month's supply of cannabis pills, Ms Wraight pays between $80 and $100. She said if she bought the product through a pharmacist, she could be paying up to $450 a month. "It's a whole lot cheaper to buy it from the black market than it is to buy legally," she said. "It's driving people underground and they're getting so fed up they're getting their supply wherever they can get it." The affordability of medicines prompted Mr Cook to raise the issue with Federal Health Minister Greg Hunt. "I wrote to him last year to ask him to consider utilising the Pharmaceutical Benefit Scheme as a way of providing price or cost relief to patients," Mr Cook said. "What he pointed out to me is that you can only use the Pharmaceutical Benefit Scheme once a drug has got TGA approval and once we understand better the impact for the patient. "As other products come on the market you can see the increasing downward pressure on that price and hopefully they'll become more affordable." 'Resist the temptation' Mr Cook urged Western Australians to be patient and "resist the temptation" of sourcing medicinal cannabis illegally. "Don't trust them unless they are an approved supplier with Australian accreditation," he said. "We know community sentiment is running ahead of the medical science on this. "We are moving as quickly as possible so people don't feel tempted to buy online, to pick up some dodgy product from somewhere else." But for users like Ms Wraight, waiting is not an option. "It's impossible to do this properly," she said. "I'm 89 years old. I'm not going to be around for much longer. "To live with my pain is absolutely demoralising. "As long as I keep taking this, I am completely out of pain." https://www.msn.com/en-au/news/other/medicinal-cannabis- impossible-to-do-properly-prompts-woman-to-source-supply- through-her-church/ar-BBVUR5s